<!DOCTYPE html>
<html>

<head>
    <link rel="stylesheet" href="../../css/common/reset.css">
    <link rel="stylesheet" href="../../css/bindStore.css">
</head>

<body style="background: #fff;">
    <!--列表 class="wechatPopup "-->
    <form action="?" class="layui-form">
        <ul>
            <li>
                <p class="fl labelText">店铺名称：</p>
                <p class="fl">
                    <input type="text" value="陈小窝小聚" placeholder="请填写店铺名称">
                </p>
            </li>
            <li>
                <p class="fl labelText">所属平台状态：</p>
                <p class="fl">
                    <select name="" id="">
                        <option value="">启用中</option>
                        <option value="">待审核</option>
                        <option value="">停用中</option>
                        <option value="">授权过期</option>
                    </select>
                </p>
            </li>
            <li>
                <!-- <h4 class="tl">发货人信息</h4> -->
                <p class="fl labelText">姓名：</p>
                <p class="fl">
                    <input type="text" placeholder="请输入姓名">
                </p>
            </li>
            <li>
                <p class="fl labelText">电话：</p>
                <p class="fl">
                    <input type="text" placeholder="请输入电话">
                </p>
            </li>
            <li>
                <p class="fl labelText">地址：</p>
                <p class="fl">
                    <select name="" id="selProvince">
                        <option value="">请选择</option>
                        <option value="">湖南省</option>
                        <option value="">湖北省</option>
                        <option value="">广东省</option>
                    </select>
                    <select name="" id="selCity">
                        <option value="">请选择</option>
                        <option value="">长沙市</option>
                        <option value="">常德市</option>
                        <option value="">岳阳市</option>
                    </select>
                    <select name="" id="selArea">
                        <option value="">请选择</option>
                        <option value="">澧县</option>
                        <option value="">石门</option>
                        <option value="">临澧</option>
                    </select>
                </p>
            </li>
            <li>
                <p class="fl labelText">详细地址：</p>
                <p class="fl">
                    <textarea name="" id="" placeholder="请输入发货详细地址"></textarea>
                </p>
            </li>
            <li>
                <p class="fl labelText">发货重量：</p>
                <p class="fl">
                    <input type="text" placeholder="请填写货物重量">
                </p>
            </li>
            <li>
                <p class="fl labelText">店铺推广状态：</p>
                <p class="fl staticBox">
                    <label for="tbk">淘宝客
                        <input type="checkbox" value="淘宝客" id="tbk">
                    </label>
                    <label for="nctb">农村淘宝
                        <input type="checkbox" value="农村淘宝" id="nctb">
                    </label>
                    <label for="ztc">直通车
                        <input type="checkbox" value="直通车" id="ztc">
                    </label>
                </p>
            </li>
            <li class="uploadImgBox">
                <!-- <h4 class="tl">店铺后台截图</h4> -->
                <p class="fl labelText">上传首页截图：</p>
                <p class="fl exampleImgBox">
                    <img src="../../images/upload-1.jpg" alt="">
                </p>
                <p class="fl">
                    <input type="file">
                </p>
            </li>
            <li class="uploadImgBox">
                <p class="fl labelText">上传交易截图：</p>
                <p class="fl exampleImgBox">
                    <img src="../../images/upload-2.jpg" alt="">
                </p>
                <p class="fl">
                    <input type="file">
                </p>
            </li>
            <li>
                <input type="submit" value="提交" class="btn sureBtn">
                <input type="button" value="返回" class="btn editBtn">
            </li>
        </ul>
    </form>
    <p class="redColor"> 温馨提示：发货人信息会显示在快递单上，所以请如实填写。</p>
</body>

</html>